<html xmlns:wicket="http://wicket.apache.org/dtds.data/wicket-xhtml1.3-strict.dtd">
<wicket:panel >
	<h3 wicket:id="panel_title"></h3>
	<form wicket:id="leaveRequestForm">
		<table align="center" width="80%" >
			<tr>
				<td height="20" colspan="2">
				<div wicket:id="feedbackPanel"></div></td>
			</tr>
			<tr>
				<td align="right"><wicket:message key="form.employee"/>:</td>
				<td align="left"><select wicket:id="employeeCombo"></select></td>
			</tr>
			<tr>
				<td align="right"><wicket:message key="form.reason"/>:</td>
				<td align="left"><select wicket:id="reason"></select></td>
			</tr>
			<tr>
				<td align="right"><wicket:message key="form.duration_type"/>:</td>
				<td align="left"><select wicket:id="durationType"></select></td>
			</tr>
			<tr>
				<td align="right"><wicket:message key="form.start_date"/>:</td>
				<td align="left"><input wicket:id="startDate" type="text" /></td>
			</tr>
			<tr>
				<td align="right"><wicket:message key="form.end_date"/>:</td>
				<td align="left"><input wicket:id="endDate" type="text" /></td>
			</tr>
			<tr>
				<td colspan="2" align="center">
					<input wicket:id="accept" type="submit" name="aceptar" wicket:message="value:button.accept" />
					<input wicket:id="cancel" type="submit" name="cancelar" wicket:message="value:button.cancel" />
				</td>
			</tr>
		</table>
		<br />
	</form>
</wicket:panel>
</html>